When I think of the federal government, “efficiency” is rarely the first thing on my mind. But when it comes to controlling healthcare costs, we need to consider the possibility that the federal government is better at this job than anyone else. Consider the fact that the United States dwarfs other countries in healthcare spending,…
Below is a recent article in U.S. News and World Report, written by Niam Yaraghi of the Brookings Institution, on why doctors continue to perform expensive and unnecessary tests like prostate cancer screening. Unnecessary and harmful medical procures are a major source of waste in the U.S. health care system. Prostate-specific antigen-based screening (or PSA-based…
I have two teenage boys. So of course I’m worried about them skipping the dating scene and engaging in “hookups.” That seems to be what kids do these days. But now, do I also have to worry about them engaging in hookah? Dave Chokshi (@davechokshi) recently tweeted an image of trends in tobacco use among…
Every once in a while, I post a picture of an effort to nudge people into better behavior. Sometimes, I post pictures of pretty horrendous nudges. In response to one of those posts, Lydia Ashton sent me this picture, of an absolutely, horrendously and horrifically designed “nudge.” Fortunately, I have determined that if you stare…
Paying someone to mow your lawn is a pretty straightforward affair. Ryan the lawn guy will look at the lawn size and maybe the hilliness of your yard and you’ll settle on a price for mowing and trimming it. When you decide to contract for Ryan’s services on a more regular basis, payment might get…
I recently had surgery to relieve an impingement of my left hip. I suffered a complication of the procedure in the hospital where I received the surgery performed follow-up care to treat the complication. As I lay on the table receiving that second treatment I wondered – okay, I mainly wondered “are they really going…
Here is a fascinating picture from the Wall Street Journal, showing how much Medicare has been spending on hepatitis C treatments lately. You can see that the cost is rising dramatically: Keep in mind, however, that the new and expensive hepatitis C treatments currently on the market will dramatically reduce costs in the future, because…
Medical experts now agree that as a result of aggressive screening programs, we have an epidemic of cancer overdiagnosis in the United States. With mammograms finding tiny cancers and PSA tests discovering unpalpable prostate cancers, we are now unearthing some cancers too early for our own good. What do experts mean by “overdiagnosis,” you ask?…
Here is a fine story in the Los Angeles Times written by Lisa Zamosky about the importance of talking with your doctor about your out of pocket medical costs. Despite high medical costs topping Americans’ list of financial concerns, many of us have a hard time telling our doctors that the care they’re prescribing may…
American manufacturing has declined precipitously in the past few decades. Companies that were once the source of fabulous wealth for Americans – the U.S. Steel profits that enriched the Carnegie family, the Ford Motor F -1.29% Company profits that enriched its eponymous family – are now struggling to keep up with foreign competitors. Thank God…